Effects of constraint-induced movement therapy (CIMT) therapy based on health belief pattern on motor function and neurological function in patients with early stroke

Abstract

Objective Analyze the effect of CIMT on motor function and neurological function in patients with early stroke basing the framework of health belief model (HBM). Methods 70 patients with early stroke in our hospital from November 2012 to July 2016 were randomly devided into observation group and control group, 35 cases each group. The control group was given routine exercise rehabilitation therapy, the observation group was given the CIMT based on HBM, Fugl-Meyer motor function scoring method was used before intervention and after 8 weeks of intervention to evaluate the motor function of the two groups, the SF-36 scale [emotional function (RE), mental health (MH), physical activity (VT), physiological function (RP)] was used to evaluate the life quality of the two groups, and neurological excellent rate of the two groups were compared as well. Results There was no significant difference in FMA scores between the two groups before intervention (P>0.05); compared with that before the intervention, the FMA scores of the two groups were significantly increased after 8 weeks of intervention, and the observation group was higher than the control group, the difference was statistically significant (P 0.05); the scores of GH, PF, MH, VT, RP, SF, RE in the observation group were significantly higher than those in the control group after 8 weeks of intervention (P<0.05), and the difference was statistically significant (P<0.05). Conclusion Constraint-induced movement therapy based on Health Belief Model can promote limb function recovery of patients with early stroke, improve neurological function and the life quality of patients. Key words: Early stroke; Neurological function; Health belief model; Constraint-induced movement therapy; Motor function